340B Drug Pricing Program Database
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DSH150021 Parkview Hospital (Active)
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Main Details
Name
Parkview Hospital
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH150021
Medicare Provider Number
150021
Additional Details
Current Program Status
Active
Registration Date
7/15/2015
Participating Start Date
10/1/2015
Participating Approval Date
8/31/2015
Last Recertification Date
8/14/2024
Contacts
Authorizing Official
Parkview Health System
Stanton Risser, Assoc Chief Financial Officer
(260) 266-9313
Primary Contact
Parkview Health
Stephanie Dickmeyer, 340B Program Supervisor
(260) 266-4408
Addresses
Street Address
11109 PARKVIEW PLAZA DRIVE
FORT WAYNE, IN 46845
Billing Address
Parkview Memorial Hospital, Inc
2200 Randallia Dr
Fort Wayne, IN 46805
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Does Parkview Hospital own Medical Park 11 Pharmacy and Parkview Randallia Outpatient Pharmacy? Please reply in the comment section and return. Thank you.
02/22/2022
8/31/15 Previously participated 4/1/11 through 7/1/14, terminated due to DSH percentage fell below statutory minimum, reinstated 10/1/15 with a DSH % of 12.17%
08/31/2015
04/29/11 REMOVED MEDICAID#(WAS100268480A)
04/29/2011
9/28/11 ADDED SUB-DIV NAME; 04/29/11 REMOVED MEDICAID#(WAS100268480A)
03/04/2011
May 2025
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